TechDetail

Last Updated:  5/19/2024 5:21:38 AM

Technician Detail               
Name  JILL   LATHAM 
Type  Technician 
Number 25937 
City  SAPULPA, OK  74066 
Status CANCELED
Issue Date  03/11/2020 
Renewed Date 08/11/2020
Expire Date  08/31/2021 
End Date  10/01/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action